from Part III - Specific treatments
Published online by Cambridge University Press: 12 May 2010
Editor's note
In child and adolescent psychiatry, educational and alternative interventions frequently take place in school, with treatment directed either at the identified individual or with a group of individuals with similar problems, or at the entire class or school or large subsets of the school. There may be educational programmes directed at the teachers who need to be able to handle these troubled children. But interventions can be multi systemic as well and these are in essence directed at the family to help them cope, set limits and deal with the difficult child. But the difficult child may also be removed from the family system and sent to foster care or sent to inpatient hospital. Evidence for any of these interventions is weak but the trend for many of these active and intense interventions suggests a more positive outcome than standard or less intensive treatment.
Interventions in schools
Various interventions are made to help manage young people's psychological difficulties in schools. Examples of these include but are not limited to:
(a) Consultation or training, e.g. to the teacher of a child who has ADHD, may help better manage the child in class
(b) Interventions to deal with school-wide issues such as bullying
(c) Prevention/early intervention programmes designed to inhibit the escalation of difficulties into clinical problems. These programmes may be applied to children in small groups or as a universal programme to classes of children.
(d) Tactics and strategies to help with the psychological difficulties seen in children and staff after traumatic episodes or disasters (Goenjian et al., 1997; March et al., 1998; Yule, 1992).
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